| NPI | 1053864454 |
|---|---|
| Former Name | SHAWN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IN 2015026491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28161782A) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |